| John C.h. Lee M.d. Inc. | |
|
2153 N King St Ste 321 Honolulu HI 96819-4570 | |
| (808) 841-3644 | |
| (808) 841-3555 |
| Full Name | John C.h. Lee M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2153 N King St, Honolulu, Hawaii |
| Authorized Official Name and Position | John C.h. Lee (PRESIDENT) |
| Authorized Official Contact | 8088413644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John C.h. Lee M.d. Inc. 2153 N King St Ste 321 Honolulu HI 96819-4570 Ph: (808) 841-3644 | John C.h. Lee M.d. Inc. 2153 N King St Ste 321 Honolulu HI 96819-4570 Ph: (808) 841-3644 |
| NPI Number | 1376698886 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6608192356 |
|---|---|
| Medicare Enrollment ID | O20150224001700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376698886 | NPI | - | NPPES |
| 05766101 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 440F-01 (Hawaii) | Primary |
| Provider Name | John C.h. Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679731566 PECOS PAC ID: 8527081611 Enrollment ID: I20060104000213 |
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